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This shortfall can cause ongoing tiredness and hinder mental performance, making day to day life feel more challenging

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No lethal dose has been identified

Typical injection dosages can range from: 1,000 mcg (1 milligram) given weekly, monthly, or on a less frequent schedule depending on the severity of the deficiency and the individuals response

However, it lacks the clinical trial data and regulatory approval of GLP-1 agonists, and its effects may be more modest

Both are being discussed and in some cases sold online, raising serious patient safety concerns